Effect of Muscle Energy Technique Versus Strain-counterstrain on Upper Trapezius Trigger Points

NCT05258201 | Completed DMC

• 1 other identifier: REC-FSD-00268
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Aim of the study To determine the comparative effects of muscle energy technique and strain counter strain in upper trapezius trigger point.

Conditions

Trigger Point Pain, Myofascial

Keywords

Muscle Energy Technique; Myofascial; Trigger Point; Upper Trapezius; Strain-counterstrain

Outcome Measures

Primary Outcomes (3)

• Visual Analogue Scale

  A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.

  12th Week

• Neck Disability Index

  The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain

  12th Week

• Goniometer

  Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure Cervical lateral flexion range of motion.

  12th Week

Study Arms (2)

Muscle Energy Technique

EXPERIMENTAL

Muscle energy Technique will be applied on the subjects, when they will be lying supine and on the effect side therapist will stabilize shoulder by one hand, while the ear / mastoid area of the affected side will be hold by opposite hand. The head and neck will be bend to contralateral side, then bends on the same side. Subject will raise his shoulder with the shoulder fixed to the ear with less effort than the maximum. Isometric contraction will be maintain for 7-10 seconds. This position will be held for 30 seconds and repeat three to five times per on treatment session

Other: Muscle Energy Technique

Strain-counterstrain

EXPERIMENTAL

Strain And Counter Strain will be applied on subject in normal position and will be produced by placing the muscle in a short / relaxed position, the point where the pain will reduce of at least 70% will be produce will easily define. The patient will be in a supine position while the doctor will place the labial arm in flexion, abduction and external rotation to reduce the reported Trp pain. Once the position is easy to find, the pressure will be apply to the Trp and will be hold for 20-30 seconds and repeat this process for up to five times

Other: Strain-counterstrain

Interventions

Strain-counterstrain OTHER

Strain-counterstrain is also used for manual Trigger Point processing. This involves identifying active TRP and then applying pressure until a ridiculous reaction occurs. The area is then positioned to reduce tension in the injured muscle and later reduce tripod pain. When the pain subsides, the tissues that are most stressed feel relaxed and there is a local decrease in the ground

Strain-counterstrain

Muscle Energy Technique OTHER

Muscle Energy Technique is a common way to achieve muscle tension release (stop) before stretching other's adductor muscles

Muscle Energy Technique

Eligibility Criteria

• Age: 18 Years - 34 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants who are 18 to 34 years old
• In upper trapezius From 2 weeks Had mechanical neck pain and was diagnosed with active myofacial Trigger points
• Subjects have to exhibit a tendor point in the upper trapezius muscle either on the left or right side
• Local pain is greater than 3/10 on Visual Analog scale

You may not qualify if:

• Patient with cervical radiculopathy
• Patients with Fibromyalgia syndrome
• Patients who had cervical spine surgery
• Patient with myelopathy
• Patients who had myofacial pain therapy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ripah International University

Faisalabad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Study Officials

• Muhammad Kashif

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Our study will be single-blinded, outcome assessor-blinded. The assessor will be blinded to avoid being biased during the outcome assessment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2022
• First Posted: February 28, 2022
• Study Start: March 1, 2021
• Primary Completion: March 20, 2022
• Study Completion: March 25, 2022
• Last Updated: April 22, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)